Individual provider Active NPI

Ellen Riel, LCPC

  • Professional Counselor
  • Portland, ME
National Provider Identifier
1124532304
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC5408 Issued in ME
Practice address
615 Congress St Ste 324
Portland, ME 04101-5358
Phone
(207) 323-8945
NPI assigned
Nov 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X XL4967 ME
Professional Counselor 101YP2500X CC5408 ME Primary

Addresses

Primary practice location

615 Congress St Ste 324
Portland, ME 04101-5358

Mailing address

615 Congress St # 32
Portland, ME 04101-5351
Phone (207) 323-8945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729001695 ME Practitioner - Mental Health Counselor 2466998208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC5408MEMDProfessional Counselor
XL4967MEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Maine Mental Health PastSince Oct 8, 2015 Accepting new patients
Catholic Charities Maine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1124532304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 CONGRESS ST # 32",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015351",
            "telephone_number": "207-323-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 CONGRESS ST STE 324",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015358",
            "telephone_number": "207-323-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEL",
        "first_name": "ELLEN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL4967",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC5408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.